Fat Stem Cell Grafting, Volume Restoration & Cheek Implants

Before

After

Before

After

This 45-year-old woman was concerned about the look of her face, particularly her sagging cheeks that had given her a more aged appearance. She decided to look for a cosmetic surgery who specializes in the face. After some research, she decided to schedule a consultation with a facial cosmetic surgeon who specializes only in the face, Dr. De Silva. When she came in for her consultation, she discussed her concerns with her surgeon and asked him what he recommended for her. Since she had multiple concerns with her sagging cheeks, increased lines and shadowing. Dr. De Silva discussed with her all her concerns and treatment options. She had a note able loss of cheek volume, in addition to sun-damaged skin had added years to her appearance, she had not undergone previous cosmetic surgery and wanted only to look better, not different. She decided to go ahead with augmentation of the cheeks with a combination of a cheek implant and fat augmentation. This modified technique by Dr. De Silva increases long-term results and gives a more natural appearance. Fat augmentation on its own can be limited over time as a proportion of the fat is reabsorbed. In addition the patient was treated with the latest in skin technology, fractionated CO2 laser. This patient returned to her work after one week off and the “after” photos were taken at 6-months. As can be seen in the photos, she looks dramatically younger and refreshed with the surgery bringing out her naturally high cheek bones. She was very pleased with the results of her procedure.

This patient in her 60s described difficulty in putting makeup on her eyes as a result of smudging and looking tired. The reviewed photograph shows marked changes associated with facial ageing including rolls of skin and muscle on the upper eyelids. The lower eyelids show fat bags, with a dark circle depression below the eyelid and marked wrinkling in the skin as a consequence of skin laxity. Dr. Julian De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the lower eyelid, transconjunctival (hidden incision) lower blepharoplasty with fat transfer to reduce the dark circles and hollowness. Finally skin resurfacing was completed to smoothen the surface of the skin rejuvenating the patient’s appearance. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show and the lower eyelids are smooth with an absence of bags, dark circles and wrinkles.

This woman in her 60s had been concerned about the signs of facial ageing around her eyes. On examination she had marked fullness of the upper eyelids with excess and lax soft tissues and fat protruding forwards. In the lower eyelids there were fat bags with dark circles and wrinkles in the skin, she wanted a natural looking and conservative improvement in her appearance. Dr. Julian De Silva completed an upper and lower trans-conjunctival (hidden incision) blepharoplasty with the use of fat transfer and botox. On review of the ‘after’ photograph there is a refreshed appearance with relatively smooth skin between the lower eyelid and cheek with an absence of dark circles. The patient was very happy with the result as she had avoided a surgical intervention and had a natural looking rejuvenation of her appearance.